Youth Genesee Serves Campaign

Youth Genesee Serves

Application to apply to Youth Genesee Serves training sessions

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* 1. Adult participant information:

Name and title/role

Name of organization and/or school

School district (if applicable)

Mailing address of organization and/or school

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Please state your interest in participating in our program.

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* 3. How many youth do you engage on a regular basis?

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* 4. Why are you interested in engaging youth in service?

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* 5. Please list the age range of possible youth participants.

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* 6. Do you anticipate completing a service project for MLK Day, Global Youth Service Day (GYSD), or both?

MLK Day (Monday, January 21, 2019)

Global Youth Service Day (Friday April 12-14, 2019)

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* 7. By signing (entering your name and the date below) this letter of intent I agree to commit to at least one of the free training sessions and at least two subsequent technical assistance sessions provided by Genesee Serves staff, and that either I , or a mandated member of my school, organization, or institution, will be present during training proceedings.